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1700011731
BREANNA JOY SMITH
GRAND RAPIDS, MI
NPI
1700011731
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Former Name
BREANNA JOY BAILEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005567)
Enumeration Date
2009-05-20
Last Update Date
2019-09-11
Business Address
BREANNA JOY SMITH PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6789
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Mailing Address
BREANNA JOY SMITH PA-C
PO BOX 5329
SAGINAW, MI 48603-0329
Phone number: 616-364-6700
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